一份新近发布的报告揭示，特朗普政府的政策调整对全球艾滋病救援项目PEPFAR造成了广泛破坏。根据这份覆盖46个国家166个组织的调查，从2024年11月至2025年4月间，超过1700个诊所和服务机构被迫关闭，超过16000名全职员工失业 [1]。
受冲击最严重的是面向高风险人群的防治服务。针对性工作者、男同性恋等易感人群的HIV防治和治疗项目被永久终止 [1]。整体而言，HIV预防支出从2024财年至2025财年下降了51% [1]。
根据《自然健康》期刊6月发表的研究，2025财年接受PEPFAR支持的抗逆转录病毒治疗人数比上一财年减少近200万，降幅约10% [1]。美国国务院4月数据显示，PEPFAR在50多个国家为2060万人提供标准HIV治疗 [1]。
amfAR基金会官员指出，多数受影响的报告来自非洲国家 [1]。自2003年成立以来，PEPFAR已拯救至少2600万人生命 [1]。
A new report has documented significant disruptions to global HIV services resulting from US policy actions affecting PEPFAR, the President's Emergency Plan for AIDS Relief. The survey, conducted between November 2024 and April 2025, examined responses from 166 organizations across 46 countries and found widespread service failures. [1]
Over 1,700 clinics and service facilities have been forced to close, with more than 16,000 full-time employees losing their jobs. [1] Services targeting high-risk populations—including sex workers and men who have sex with men—have been permanently discontinued in many locations. [1] HIV prevention spending has declined by 51% between fiscal years 2024 and 2025. [1]
Research published in Nature Health in June revealed that the number of people receiving antiretroviral treatment supported by PEPFAR in fiscal year 2025 fell by nearly 2 million compared to the previous year, representing approximately a 10% decrease. [1] As of April, PEPFAR was providing standard HIV treatment to 20.6 million people across more than 50 countries. [1]
The disruptions have been felt primarily in African nations, according to officials involved in the survey. [1] Since its establishment in 2003, PEPFAR has been credited with saving at least 26 million lives. [1]